Individual
JAMES MARK MARCOUILLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2410 ATHERHOLT RD, LYNCHBURG, VA 24501-2148
(434) 200-5252
Mailing address
1083 COLUMN WAY APT 301, FOREST, VA 24551-1888
(978) 846-4106
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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